Organization Name: | DHHS-PHS IHS TUCSON AREA SAN SIMON HEALTH CENTER |
NPI Number: | 1588834998 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ARLENE RAYMOND (BUDGET ANALYST) |
Mailing Address: | West Highway 86, Mile Marker 74 Sells |
State: | AZ US |
Postal Code: | 85634 |
Phone Number: | 5203627003 |
Fax Number: | |
NPI Enumeration Date: | 03/03/2008 |
NPI Last Update Date: | 12/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |